| Susan N Evans, Lmsw, Pllc | |
|
792 W Grand River Ave Brighton MI 48116-2392 | |
| (810) 333-2588 | |
| Not Available |
| Full Name | Susan N Evans, Lmsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 792 W Grand River Ave, Brighton, Michigan |
| Authorized Official Name and Position | Susan Niffin Evans (PRESIDENT) |
| Authorized Official Contact | 8103332588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan N Evans, Lmsw, Pllc 792 W Grand River Ave Brighton MI 48116-2392 Ph: (810) 333-2588 | Susan N Evans, Lmsw, Pllc 792 W Grand River Ave Brighton MI 48116-2392 Ph: (810) 333-2588 |
| NPI Number | 1023673373 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Medicare PECOS PAC ID | 1658709662 |
|---|---|
| Medicare Enrollment ID | O20200325000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023673373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Susan N Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841341088 PECOS PAC ID: 4688840853 Enrollment ID: I20120110000661 |
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